Displaying 11651-11660 of 1611142 results.
ID:
11651
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11652
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11653
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11654
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11655
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
11656
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11657
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
11658
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11659
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11660
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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